Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,890.45 / $8,511.38	Facility		$1,148.15	$3,890.45	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $4,466.84	Professional		$1,819.70	$2,238.72	$4,466.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $45,708.82	Facility		$2,089.30	$2,754.23	$45,708.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,467.37 / $4,265.80	Professional		$2,511.89	$3,467.37	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $4,365.16	Professional		$2,089.30	$3,019.95	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,890.45 / $11,220.18	Professional		$2,238.72	$3,890.45	$11,220.18
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,630.27 / $2,884.03	Professional		$2,398.83	$2,630.27	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,187.76	Professional		$32.36	$33.11	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,918.31 / $14,454.40	Facility		$1,995.26	$6,918.31	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $4,570.88	Professional		$1,905.46	$2,691.53	$4,570.88